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4421NW39

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Avenue,Building1,Suite1
Gainesville,Florida32606USA
www.thekochfoundation.org

PROGRESS REPORT FINAL EVALUATION

The Koch Foundation requires an evaluation of all funded programs within one year of receiving a grant. If funds are
not spent within one year, then a progress report must be provided until such time as funds are expended (Copy
evaluation form, if needed).



GRANT APPLICATION NUMBER


ORGANIZATION (GRANTEE)


MAILING ADDRESS


CITY, STATE, COUNTRY ZIP/POSTAL CODE


The following pages contain questions that must be completed. Please return this form supplying the required
information. Limit your answers to the space provided. Please type or print clearly. Fill in the application number on
all pages and any additional attachments.

From my own knowledge, I state that the information given is complete and correct.


Signature of Person Administering the Grant Date





DO NOT INCLUDE A LETTER OF REQUEST FOR A NEW APPLICATION WITH THIS FORM!



Grant Application No.

A. Results of Grantees Program:

1. How many people were served?















2. What was the time and place of principal activities?















3. How were the evangelization objectives met? (Please provide a description.)













Grant Application No.

4. How will the program continue after Koch Foundation funding?
















B. Income and Expenditure Report: (Please provide a detailed account of how the grant money was spent)

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